Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.00 / $3,221.00 / $5,580.00	Facility		$1,129.00	$3,221.00	$5,580.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,084.94 / $2,518.09 / $4,684.89	Professional		$2,084.94	$2,518.09	$4,684.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,367.62 / $32,871.92 / $65,826.00	Facility		$15,367.62	$32,871.92	$65,826.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $875.00 / $908.00	Facility		$875.00	$875.00	$908.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.88 / $3,606.07 / $5,298.02	Professional		$2,404.88	$3,606.07	$5,298.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,804.72 / $4,103.38 / $9,045.89	Professional		$2,804.72	$4,103.38	$9,045.89
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,881.10 / $3,137.88 / $3,472.51	Professional		$2,881.10	$3,137.88	$3,472.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $3,926.61	Professional		$32.34	$32.34	$3,926.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,100.00 / $5,619.00 / $12,241.00	Facility		$2,100.00	$5,619.00	$12,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,324.39 / $3,248.98 / $5,571.83	Professional		$2,324.39	$3,248.98	$5,571.83